Volunteer Application

(Given the sensitive nature of some of the application questions and the fact that this is not a secure web site, please feel free to answer questions, print a hard copy of the application with your answers, sign and date, then mail to: LVC, P.O. Box 1295, Lincoln, CA 95648.)

Personal

First Name

Last Name

Address

City

State

Zip Code

Home Phone #

Work Phone #

Email(valid email required)

Age

Driver's Lic. #

Expiration Date

Sex

Male Female

Ever been convicted of any offense, other than a moving traffic violation?

No Yes

If yes, please list date, type of offense and any other details here:

Skills & Abilities

Please go through each area listed below, carefully selecting the talents and skills under each category in which you feel you have proven ability.